HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT RECEI'.'-D JUN 22 2017
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t,iA'r 1 a..-
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Re: Permit # xj .. -
i �fit'ensed as a(n)Contr_actor*/Engineer/Architect
(Please Itrint name & circle license type) *FS468 Building Inspector
*General, Building, Residential or oofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about , I did personally inspect the roof deck nailing
(Da )
work at: , `� o) kwile
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida xistin Building Code Section 708 or the product approval submitted (whichever
is most s1�>?eatl. 7
Signature and
cl� I -'3g 7 a�
License #
STATE OF FLOR DA
COUNTY OF i
Sworn t and s bscrigX'Ajb`^e mp�th' ' 1 day of 20�7
by L%� � j/1� fUYi Rio is ersonally known tb me or who has produced
as identification.
Notary Public, State of
Signature of Notary:_
Commission Number:
En
Janelt Miles
Commission#G1361533
Expires 11130/2020